Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,500.00 / $11,232.00	Facility		$803.00	$3,500.00	$11,232.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,837.00 / $3,837.00 / $3,837.00	Facility	50	$3,837.00	$3,837.00	$3,837.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $471.34 / $718.08 / $1,133.22	Professional		$471.34	$718.08	$1,133.22
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $707.01 / $2,018.04 / $2,092.69	Professional	50	$707.01	$2,018.04	$2,092.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,741.68 / $3,076.97 / $6,192.64	Facility		$1,741.68	$3,076.97	$6,192.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $491.02 / $684.39 / $1,110.20	Professional		$491.02	$684.39	$1,110.20
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $553.47 / $704.41 / $868.50	Professional		$553.47	$704.41	$868.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $456.90 / $456.90 / $755.80	Facility		$456.90	$456.90	$755.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,263.04 / $1,263.04 / $1,304.32	Facility		$1,263.04	$1,263.04	$1,304.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $533.72 / $758.21 / $1,118.06	Professional		$533.72	$758.21	$1,118.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,684.60 / $26,542.00 / $26,542.00	Facility		$3,684.60	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,805.00 / $5,315.84 / $6,114.98	Professional		$4,805.00	$5,315.84	$6,114.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $503.15 / $743.55 / $1,171.06	Facility		$503.15	$743.55	$1,171.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $572.14 / $832.21 / $1,208.10	Professional		$572.14	$832.21	$1,208.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $503.15 / $719.31 / $1,645.20	Professional		$503.15	$719.31	$1,645.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $503.72 / $749.97 / $1,206.00	Facility		$503.72	$749.97	$1,206.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $546.95 / $782.49 / $1,137.69	Professional		$546.95	$782.49	$1,137.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $3,264.00 / $7,600.00	Facility		$1,120.00	$3,264.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $565.16 / $753.55 / $1,150.23	Professional		$565.16	$753.55	$1,150.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $606.52 / $683.19 / $964.25	Professional		$606.52	$683.19	$964.25